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The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial. / Byng, Richard; Creanor, Siobhan; Jones, Benjamin et al.
In: The British Journal of Psychiatry, Vol. 222, No. 6, 20.06.2023, p. 246-256.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Byng, R, Creanor, S, Jones, B, Hosking, J, Plappert, H, Bevan, S, Britten, N, Clark, M, Davies, L, Frost, J, Gask, L, Gibbons, B, Gibson, J, Hardy, P, Hobson-Merrett, C, Huxley, P, Jeffery, A, Marwaha, S, Rawcliffe, T, Reilly, S, Richards, D, Sayers, R, Williams, L, Pinfold, V & Birchwood, M 2023, 'The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial', The British Journal of Psychiatry, vol. 222, no. 6, pp. 246-256. https://doi.org/10.1192/bjp.2023.28

APA

Byng, R., Creanor, S., Jones, B., Hosking, J., Plappert, H., Bevan, S., Britten, N., Clark, M., Davies, L., Frost, J., Gask, L., Gibbons, B., Gibson, J., Hardy, P., Hobson-Merrett, C., Huxley, P., Jeffery, A., Marwaha, S., Rawcliffe, T., ... Birchwood, M. (2023). The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial. The British Journal of Psychiatry, 222(6), 246-256. https://doi.org/10.1192/bjp.2023.28

Vancouver

Byng R, Creanor S, Jones B, Hosking J, Plappert H, Bevan S et al. The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial. The British Journal of Psychiatry. 2023 Jun 20;222(6):246-256. Epub 2023 Apr 20. doi: 10.1192/bjp.2023.28

Author

Byng, Richard ; Creanor, Siobhan ; Jones, Benjamin et al. / The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial. In: The British Journal of Psychiatry. 2023 ; Vol. 222, No. 6. pp. 246-256.

Bibtex

@article{7c98b875bc90461eb1bfb4599346f3f8,
title = "The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial",
abstract = "Background Individuals living with severe mental illness can have significant emotional, physical and social challenges. Collaborative care combines clinical and organisational components. Aims We tested whether a primary care-based collaborative care model (PARTNERS) would improve quality of life for people with diagnoses of schizophrenia, bipolar disorder or other psychoses, compared with usual care. Method We conducted a general practice-based, cluster randomised controlled superiority trial. Practices were recruited from four English regions and allocated (1:1) to intervention or control. Individuals receiving limited input in secondary care or who were under primary care only were eligible. The 12-month PARTNERS intervention incorporated person-centred coaching support and liaison work. The primary outcome was quality of life as measured by the Manchester Short Assessment of Quality of Life (MANSA). Results We allocated 39 general practices, with 198 participants, to the PARTNERS intervention (20 practices, 116 participants) or control (19 practices, 82 participants). Primary outcome data were available for 99 (85.3%) intervention and 71 (86.6%) control participants. Mean change in overall MANSA score did not differ between the groups (intervention: 0.25, s.d. 0.73; control: 0.21, s.d. 0.86; estimated fully adjusted between-group difference 0.03, 95% CI −0.25 to 0.31; P = 0.819). Acute mental health episodes (safety outcome) included three crises in the intervention group and four in the control group. Conclusions There was no evidence of a difference in quality of life, as measured with the MANSA, between those receiving the PARTNERS intervention and usual care. Shifting care to primary care was not associated with increased adverse outcomes.",
keywords = "Psychiatry and Mental health",
author = "Richard Byng and Siobhan Creanor and Benjamin Jones and Joanne Hosking and Humera Plappert and Sheriden Bevan and Nicky Britten and Michael Clark and Linda Davies and Julia Frost and Linda Gask and Bliss Gibbons and John Gibson and Pollyanna Hardy and Charley Hobson-Merrett and Peter Huxley and Alison Jeffery and Steven Marwaha and Tim Rawcliffe and Siobhan Reilly and Debra Richards and Ruth Sayers and Lynsey Williams and Vanessa Pinfold and Maximillian Birchwood",
year = "2023",
month = jun,
day = "20",
doi = "10.1192/bjp.2023.28",
language = "English",
volume = "222",
pages = "246--256",
journal = "The British Journal of Psychiatry",
issn = "0007-1250",
publisher = "Royal College of Psychiatrists",
number = "6",

}

RIS

TY - JOUR

T1 - The effectiveness of a primary care-based collaborative care model to improve quality of life in people with severe mental illness: PARTNERS2 cluster randomised controlled trial

AU - Byng, Richard

AU - Creanor, Siobhan

AU - Jones, Benjamin

AU - Hosking, Joanne

AU - Plappert, Humera

AU - Bevan, Sheriden

AU - Britten, Nicky

AU - Clark, Michael

AU - Davies, Linda

AU - Frost, Julia

AU - Gask, Linda

AU - Gibbons, Bliss

AU - Gibson, John

AU - Hardy, Pollyanna

AU - Hobson-Merrett, Charley

AU - Huxley, Peter

AU - Jeffery, Alison

AU - Marwaha, Steven

AU - Rawcliffe, Tim

AU - Reilly, Siobhan

AU - Richards, Debra

AU - Sayers, Ruth

AU - Williams, Lynsey

AU - Pinfold, Vanessa

AU - Birchwood, Maximillian

PY - 2023/6/20

Y1 - 2023/6/20

N2 - Background Individuals living with severe mental illness can have significant emotional, physical and social challenges. Collaborative care combines clinical and organisational components. Aims We tested whether a primary care-based collaborative care model (PARTNERS) would improve quality of life for people with diagnoses of schizophrenia, bipolar disorder or other psychoses, compared with usual care. Method We conducted a general practice-based, cluster randomised controlled superiority trial. Practices were recruited from four English regions and allocated (1:1) to intervention or control. Individuals receiving limited input in secondary care or who were under primary care only were eligible. The 12-month PARTNERS intervention incorporated person-centred coaching support and liaison work. The primary outcome was quality of life as measured by the Manchester Short Assessment of Quality of Life (MANSA). Results We allocated 39 general practices, with 198 participants, to the PARTNERS intervention (20 practices, 116 participants) or control (19 practices, 82 participants). Primary outcome data were available for 99 (85.3%) intervention and 71 (86.6%) control participants. Mean change in overall MANSA score did not differ between the groups (intervention: 0.25, s.d. 0.73; control: 0.21, s.d. 0.86; estimated fully adjusted between-group difference 0.03, 95% CI −0.25 to 0.31; P = 0.819). Acute mental health episodes (safety outcome) included three crises in the intervention group and four in the control group. Conclusions There was no evidence of a difference in quality of life, as measured with the MANSA, between those receiving the PARTNERS intervention and usual care. Shifting care to primary care was not associated with increased adverse outcomes.

AB - Background Individuals living with severe mental illness can have significant emotional, physical and social challenges. Collaborative care combines clinical and organisational components. Aims We tested whether a primary care-based collaborative care model (PARTNERS) would improve quality of life for people with diagnoses of schizophrenia, bipolar disorder or other psychoses, compared with usual care. Method We conducted a general practice-based, cluster randomised controlled superiority trial. Practices were recruited from four English regions and allocated (1:1) to intervention or control. Individuals receiving limited input in secondary care or who were under primary care only were eligible. The 12-month PARTNERS intervention incorporated person-centred coaching support and liaison work. The primary outcome was quality of life as measured by the Manchester Short Assessment of Quality of Life (MANSA). Results We allocated 39 general practices, with 198 participants, to the PARTNERS intervention (20 practices, 116 participants) or control (19 practices, 82 participants). Primary outcome data were available for 99 (85.3%) intervention and 71 (86.6%) control participants. Mean change in overall MANSA score did not differ between the groups (intervention: 0.25, s.d. 0.73; control: 0.21, s.d. 0.86; estimated fully adjusted between-group difference 0.03, 95% CI −0.25 to 0.31; P = 0.819). Acute mental health episodes (safety outcome) included three crises in the intervention group and four in the control group. Conclusions There was no evidence of a difference in quality of life, as measured with the MANSA, between those receiving the PARTNERS intervention and usual care. Shifting care to primary care was not associated with increased adverse outcomes.

KW - Psychiatry and Mental health

U2 - 10.1192/bjp.2023.28

DO - 10.1192/bjp.2023.28

M3 - Journal article

C2 - 37078520

VL - 222

SP - 246

EP - 256

JO - The British Journal of Psychiatry

JF - The British Journal of Psychiatry

SN - 0007-1250

IS - 6

ER -